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-�._. <br /> �',��.:, Envrrnninenta7Prnfessiona/sIN O. CUTODYGeological -Audlt Services , inc .• � E <br /> Date 4-'z37C <br /> 1809 West March Lenof <br /> nowo, Suite A-Stockton,California-95207(-(209)956.0264 <br /> Cw <br /> ClientProject Ma ager <br /> ri•cC p <br /> .8 " gq <br /> M Tests R urred <br /> Phone�Numlib <br /> Sam lers:'(Signature) <br /> Project Name <br /> Invoice: <br /> audit r <br /> Sample Location Sample Type Clk <br /> Number Description Date Time Water Solid No,of <br /> Comp. Grab. Air Conts. �' Notes <br /> X 1 36172 <br /> l Easy W,%t,L - !/r v:3J7 �( <br /> 36173 <br /> Sc-t- U w - lJ /o ` ��:4o X ( I <br /> ' 36174 <br /> I <br /> r <br /> 1't <br /> I <br /> e uls ign re ec rgnature <br /> _ s��d g2c( Y l�/zn� DatetTlme <br /> elinquished by: (Signature) /< � Z Q3 <br /> by:(Signature) <br /> DaleRlme <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis:(Signature) <br /> Date/Tlrrre <br /> Dispatched by: (Signature) Dato/Time Received for Laboratory by: <br /> r <br /> Method of SDatetTime <br /> hipment: _ <br /> Laboratory Name <br /> Special Instructions: v <br /> 1 hereby authorize the perfornranoe of the above indloated work. <br /> A "'* <br />